HomeMy WebLinkAbout5221 Fox Hills Dr - Permits/Mechanical - 11/06/2012�t of
Site Address: 5221 FOX HILLS DR
Job Valuation: $7,656.76 Category: Residential
Owner: SWARTZ RICHARD MICHAEL/PEGGY SUE
5221 FOX HILLS DR
FORT COLLINS, CO 80526
Zoning: Front setback:
Community Development & Neighborhood Services
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1206463
Issued Full: 11/06/2012
Permit Type: Residential Mechanical
Phone: 970-797-3807
Right setback: Left setback:
Minor Amend #: Plat File #: ZBA Case #:
Zoning district: RL - LOW DENSITY RESIDENTIAL DISTRICT
Legal: Subdivision/PUD:
Rear setback:
Filing #: Lot #: Block #:
Code: Res sq ft: Com sq ft: Ind sq ft: Basement sq ft:
# of stories: Occ Group: Const Type:
Fire Sprklr: Stock plan #: Stock plan options:
Contractor: FORT COLLINS HEATING & AIR
208 COMMERCE DR #4
FORT COLLINS, CO 80524
Subcontractor(s)_� r
Mechanical: FORT COLLINS HEATING,& AIR —
Work Description: INSTALL FURNACE AND AIR CONDITIONER
License #: H-1309 Supervisor cert #:
Phone: 970-484-4552
License Number
❑ H-1309
SCHEDULE INSPECTIONS: *** By Phone: 970-221-6769 ***By Web: http://amos.fcgov.com/CitizenAccess
***By Mobile Device: http://amos.fcgov.com/CitizenAccess/amca/
Ilnspections: GL FNM FNP FNE
TOTAL FEES PAID AS OF 11/06/12: $50.00 Payment method: Trust Account
Fee Detail Displayed on Next Page
As a condition for the issuance of a permit, I hereby declare that I am the owner or owners agent, authorized to perform the proposed work on the property described herein.
I agree to comply with all the requirements contained herein, and City ordinances, and State laws associated with such work. I understand that such permit may be
revoked in the event that issuance was based on incorrect information. This permit shall become null and void if the work authorized by such permit is not commenced,
suspended, abandoned or not inspected within 180 days from the date of such permit.
Carbon Monoxide Alarm required within 15 feet of each bedroom entrance.
59M NOV 0 5 2012
Signature: Print Name: Date:
Form Revised Oct 2010
in
F,.�rfCollins
Site Address: 5221 FOX HILLS DR
Job Valuation: $7,656.76 Category: Residential
281 N. College Ave Fort Collins, CO 80522
970.221.676o 970.224.6134 -fax
Building Permit #: B1206463
Issued Full: 11/06/2012
Permit Type: Residential Mechanical
Transactions
Method Check Number Date Paid Amount Paid Comments
Trust Account 11/06/2012 $50.00 FCHA TRUST
Receipt issued: 11/06/2012 Total Paid to Date: $50.00
Fee Description Account Code Fee Amount Amount Paid
Permit Flat Fee w/o Subs $25 1000.422010 $50.00 $50.00
TOTAL FEES:
$50.00 $50.00
Date Paid Amount Due
11/06/2012 $0.00
TOTAL BALANCE DUE AS OF 11/06/2012
$0.00
0.00
Fee Amounts are valid for date of this document only. Fees subject to change without notice.